The clinical significance of co-morbid posttraumatic stress disorder and borderline personality disorder: Case study and literature review

Personality and Mental Health

Volumn 3, Issue 3, 2009, Pages 217-224

  Vignarajah, Biruthvie ^a   Links, Paul S ^a  

^a UNIVERSITY OF TORONTO   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84867613573     PISSN: 19328621     EISSN: 1932863X     Source Type: Journal    
DOI: 10.1002/pmh.89     Document Type: Article

References (24)

1. American Psychiatric Association. (1994). Diagnostic and statistics manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
2. Axelrod, S. R., Morgan, C. A. III, & Southwick, S. M. (2005). Symptoms of posttraumatic stress disorder and borderline personality disorder in veterans of operation desert storm. American Journal of Psychiatry, 162, 270-275.
3. Bolton, E. E., Mueser, K. T., & Rosenberg, S. D. (2006). Symptom correlates of posttraumatic stress disorder in clients with borderline personality disorder. Comprehensive Psychiatry, 47, 357-361.
4. Clarke, S. B., Rizvi, S. L., & Resick, P. A. (2008). Borderline personality characteristics and treatment outcome in cognitive-behavioral treatments for PTSD in female rape victims. Behavior Therapy, 39, 72-78.
5. Cloitre, M., & Koenen, K. C. (2001). The impact of borderline personality disorder on interpersonal process group outcome among women with posttraumatic stress disorder related to childhood sexual abuse. International Journal of Group Psychotherapy, 51, 379-398.
6. Driessen, M., Beblo, T., Mertens, M., Piefke, M., Rullkoetter, N., Silva-Saavedra, A., Reddemann, L., Rau, H., Markowitsch, H. J., Wulff, H., Lange, W., & Woermann, F. G. (2004). Posttraumatic stress disorder and fMRI activation patterns of traumatic memory in patients with borderline personality disorder. Biological Psychiatry, 55, 603-611.
7. Feeny, N., Zoellner, L. A., & Foa, E. B. (2002). Treatment outcome for chronic PTSD among female assault victims with borderline personality characteristics: A preliminary examination. Journal of Personality Disorders, 16, 30-40.
8. Golier, J. A., Yehuda, R., Bierer, L. M., Mitropoulou, V., New, A. S., Schmeidler, J., Silverman, J. M., & Siever, L. J. (2003). The relationship of borderline personality disorder to posttraumatic stress disorder and traumatic events. American Journal of Psychiatry, 160, 2018-2024.
9. Grant, B. F., Chou, S. P., Goldstein, R. B., Huang, B., Stinson, F. S., Saha, T. D., Smith, S. M., Dawson, D. A., Pulay, A. J., Pickering, R. P., & Ruan, W. J. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: Results from the Wave 2 National Epidemiological Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 69, 533-545.
10. Gunderson, J. G., & Links, P. S. (2008). Borderline personality disorder. A clinical guide. Washington, DC: American Psychiatric Publishing, Inc.
11. Gunderson, J. G., & Sabo, A. N. (1993). The phenomenological and conceptual interface between borderline personality disorder and PTSD. American Journal of Psychiatry, 150, 19-27.
12. Harned, M. S., & Linehan, M. M. (2008). Integrating dialectical behaviour therapy and prolonged exposure to treat co-occurring borderline personality disorder and PTSD: Two case studies. Cognitive and Behavioral Practice, 15, 263-276.
13. Heffernan, K., & Cloitre, M. (2000). A comparison of posttraumatic stress disorder with and without borderline personality disorder among women with a history of childhood sexual abuse: Etiological and clinical characteristics. Journal of Nervous and Mental Disease, 188, 589-595.
14. Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
15. McDonagh, A., Friedman, M., McHugo, G., Ford, J., Sengupta, A., Mueser, K., Demment, C. C., Fournier, D., Schnurr, P. P., & Descamps, M. (2005). Randomized trial of cognitive-behavioral therapy for chronic post-traumatic stress disorder in adult female survivors of childhood sexual abuse. Journal of Consulting and Clinical Psychology, 73, 515-524.
16. McLean, L.M., & Gallop, R. (2003). Implications of childhood sexual abuse for adult borderline personality disorder and complex posttraumatic stress disorder. American Journal of Psychiatry, 160, 369-371.
17. Peritogiannis,V., Stefanou, E., Damigos, D., & Mavreas, V. (2008). Admission rates of patients with borderline personality disorder in a psychiatric unit in a general hospital. International Journal of Psychiatry in Clinical Practice, 12, 78-80.
18. Rüsch, N., Corrigan, P. W., Bohus, M., Kühler, T., Jacob, G. A., & Lieb, K. (2007). The impact of posttraumatic stress disorder on dysfunctional implicit and explicit emotions among women with borderline personality disorder. Journal of Nervous and Mental Disease, 195, 537-539.
19. Schmahl, C. G., Elzinga, B. M., Ebner, U. W., Simms, T., Sanislow, C., Vermetten, E., McGlashan, T. H., & Bremner, J. D. (2004). Psychophysiological reactivity to traumatic and abandonment scripts in borderline personality and posttraumatic stress disorders: a preliminary report. Psychiatry Research, 126, 33-42.
20. Zanarini, M. C., Frankenburg, F. R., Dubo, E. D., Sickel, A. E., Trikha, A., Levin, A., & Reynolds, V. (1998). Axis I comorbidity of borderline personality disorder. American Journal of Psychiatry, 155, 1733-1739.
21. Zanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B., & Silk, K. R. (2004). Axis I comorbidity of in patients with borderline personality disorder: 6-year follow-up and prediction of time to remission. American Journal of Psychiatry, 161, 2108-2114.
22. Zlotnick, C., Franklin, C. L., & Zimmerman, M. (2002). Is comorbidity of posttraumatic stress disorder and borderline personality disorder related to greater pathology and impairment? American Journal of Psychiatry, 159, 1940-1943.
23. Zlotnick, C., Johnson, J., Kohn, R., Vicente, B., Rioseco, P., & Saldivia, S. (2008). Childhood trauma, trauma in adulthood and psychiatric diagnoses: Results from a community sample. Comprehensive Psychiatry, 49, 163-169
24. Zlotnick, C., Johnson, D. M., Yen, S., Battle, C. L., Sanislow, C. A., Skodol, A. E., Grilo, C. M., McGlashan, T. H., Gunderson, J. G., Bender, D. S., Zanarini, M. C., & Shea, M. T. (2003). Clinical features and impairment in women with borderline personality disorder (BPD) with posttraumatic stress disorder (PTSD), BPD without PTSD, and other personality disorders with PTSD. Journal of Nervous and Mental Disease, 191, 706-714.